A copy of all documents, records or other materials, including but not limited to all Illinois Department of Children and Family Services reports and evaluations and clinical or diagnostic psychological and psychiatric reports considered in the evaluation of the minor, the family of the minor and all members of the minor's household and all other relevant material, shall be filed with the Court prior to any hearing on any petition involving the minor and/or the family of the minor. Any material submitted to the Court pursuant to this paragraph shall be held strictly confidential. The person or agency submitting the documents, records or other materials may submit a request to the Court limiting release of the information. If a request is submitted, the Court may only release the information after an in-camera inspection of the material, notice to interested parties, and a hearing to determine whether any of the information is privileged or protected under any statute of the State of Illinois. If the Court decides that the material is neither privileged nor protected, then the Court may release the information, if the release is in the best interest of the child.

[Adopted December 28, 1993, effective January 1, 1994.]

APPENDIX A

PETITION FOR ADJUDICATION OF WARDSHIP

STATE OF ILLINOIS

COUNTY OF COOK

)
) SS
)

IN THE CIRCUIT COURT OF
COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT, JUVENILE DIVISION

IN THE INTEREST OF

Minor(s)

)
)
)
)
)
)

No.

PETITION FOR ADJUDICATION OF WARDSHIP

___ ORIGINAL ___SUPPLEMENTAL ___ ____________________SUPPLEMENTAL

Now comes __________________________________, and petitions this court to adjudicate_______________________,
a ward of the court. In support, petitioner, on oath or affirmation, based on information or belief states as follows:
1. __________________________________________ is a (male/female) minor born on______, 19___, who
resides or may be found in this County at ____________________________________________, Illinois ___________.
2. The names and residence addresses of the minor's parents, legal guardian, and/or custodian

Name

Residence Address

City and State

Father:

Mother:

Legal
Guardian:

Custodian:

The minor and the persons named in this paragraph are designated respondents.
3. The minor was
_____ not taken into protective custody.
_____ taken into protective custody on _____, 19______, at ______(a.m./p.m.).
4. A Temporary Custody hearing has been set for ____, 19_____, at______(a.m./p.m.).

( )5. The minor was neglected pursuant to Juvenile Court Act, section
_____ 2-3(1)(a), (lack of care), the facts supporting this are _______________________
_____ 2-3(1)(b), (injurious environment), the facts supporting this are ______________
_____ 2-3(1)(c), (drug exposed infant), the facts supporting this are ________________
( )6. The minor was abused pursuant to Juvenile Court Act, section
_____ 2-3(2)(i), (physical abuse), the facts supporting this are ___________________
_____ 2-3(2)(ii), (substantial risk/physical injury), the facts supporting this are ________
_____ 2-3 (2) (iii), (sexual abuse), the facts supporting this are ____________________
_____ 2-3 (2)(iv), (torture), the facts supporting this are __________________________
_____ 2-3(2)(v), (excessive corporal punishment), the facts supporting this are _________
7. The minor is dependent pursuant Juvenile Court Act section 2-4, the facts supporting this are_____________________________________________________________
8. It is in the best interest of the minor and the public that the minor be adjudged a ward of the court.
WHEREFORE, petitioner prays that the minor be adjudged a ward of the court and that the court enter such orders as are in the best interest of the minor and other relief under the Juvenile Court Act.

Family Folder Number ___________________
Key Date of individual responsible for case ______________
MARS/CYSIS Number _____________________________

VERIFICATION

I, _________________________________, being first duly sworn on oath, depose and state that I am (an employee of the Illinois Department of Children and Family Services/ ___________________________), that I have read the foregoing Petition and am familiar with the contents and allegations contained therein and that, to the best of my knowledge and belief, the contents and allegations are true and correct.

__________________________
Subscribed and sworn to
before me __________,19____.

__________________________
Notary Public of the
Clerk of the Court

[Adopted December 31, 1992, effective January 4, 1993.]

APPENDIX B

Motion for Temporary Custody

IN THE CIRCUIT COURT OF
COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT, JUVENILE DIVISION

IN THE INTEREST OF

Minor(s)

)
)
)
)
)
)

No.

MOTION FOR TEMPORARY CUSTODY

Now comes ____________________, and moves this court to appoint _________________________temporary
custodian of _________________________________.
In support, petitioner states as follows:
1. There is probable cause that the minor is (abused/neglected/dependent), pursuant to Ill. Rev. Stat., ch. 37, par. _____________[705 ILCS 5/___], as detailed in the attached Petition for Adjudication of Wardship.
2. There is immediate and urgent necessity to take the child into temporary custody, pursuant to Ill. Rev. Stat., ch. 37, par. 10 [705 ILCS 5/5], in that ____________________________________________________
___________________________________________
3. Reasonable efforts
_____ have been made but have not removed the immediate and urgent necessity to remove the child from the home.
_____ cannot prevent or eliminate the necessity of removal of the minor from the home.
_____ have not been made.
_____ does not apply (private or temporary custodian).

WHEREFORE, petitioner moves this court to enter a Temporary Custody Order appointing _____________________, in
accordance with this motion and enter appropriate findings.
__________________________________________

[Adopted December 31, 1992, effective January 4, 1993.]

APPENDIX C

Notice of Motion

IN THE CIRCUIT COURT OF
COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT, JUVENILE DIVISION

IN RE THE PETITION
OF ADJUDICATION
OF WARDSHIP OF

Minor(s)

)
)
)
)
)
)

No.

NOTICE OF MOTION

TO:

On _________, 19_____at _______.m., or as soon thereafter as counsel may be heard, I shall appear before the
Honorable ___________________________________, or any judge sitting in his/her stead, in courtroom
number ______________in the Juvenile Court Building, Chicago, IL, or the courthouse located at ______________________ and present the attached pleading requesting:___________________________________
______________________________________________

___________________________________________
CERTIFICATE AND AFFIDAVIT OF DELIVERY
(PERSONALLY OR BY MAIL)

The undersigned hereby certifies under penalties of perjury as provided by law pursuant to Ill. Rev. Stat., ch. 110, par. 1-109 [735 ILCS 5/1-109], that the above notice and any attached pleadings were ( ) personally delivered or ( )placed in the U.S. mail at ___________, with first class postage prepaid and directed to the parties at the addresses set forth above (at) (before)____________________.m. on ____, 19____.